A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft

Brachial artery aneurysms are rare diseases that may be caused by infection or trauma. We report a case of a 71-year-old man who presented with a mass in his right antecubital fossa that increased in size slowly over time. Three years ago, the patient underwent ascending and total-arch replacement w...

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Main Authors: Joon seok Oh, Seokchan Eun
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2022-11-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751025
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author Joon seok Oh
Seokchan Eun
author_facet Joon seok Oh
Seokchan Eun
author_sort Joon seok Oh
collection DOAJ
description Brachial artery aneurysms are rare diseases that may be caused by infection or trauma. We report a case of a 71-year-old man who presented with a mass in his right antecubital fossa that increased in size slowly over time. Three years ago, the patient underwent ascending and total-arch replacement with artificial vessel graft to treat aortic root and ascending aorta aneurysm. Preoperative physical examination of right upper extremity showed a nonpulsatile mass with normal pulse of axillary, brachial, and radial arteries. The mass was removed and brachial artery reconstruction was done initially using saphenous vein graft. Two months later, the patient revisited with recurrent pseudoaneurysm, involving the bifurcation point of brachial artery. Aneurysm was totally resected and the brachial artery was reconstructed by interposition graft using a bifurcated GORE-TEX artificial vessel graft. The patient healed without complication and no recurrence was observed. Artificial vessel graft is an available option for reconstruction, and revascularization of vessel defect after excision of brachial artery aneurysm may involve bifurcation point.
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spelling doaj.art-3a180e833ef0410da58e5c6f9cbb93812022-12-22T03:53:08ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712022-11-01490675575910.1055/s-0042-1751025A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel GraftJoon seok Oh0Seokchan Eun1Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaBrachial artery aneurysms are rare diseases that may be caused by infection or trauma. We report a case of a 71-year-old man who presented with a mass in his right antecubital fossa that increased in size slowly over time. Three years ago, the patient underwent ascending and total-arch replacement with artificial vessel graft to treat aortic root and ascending aorta aneurysm. Preoperative physical examination of right upper extremity showed a nonpulsatile mass with normal pulse of axillary, brachial, and radial arteries. The mass was removed and brachial artery reconstruction was done initially using saphenous vein graft. Two months later, the patient revisited with recurrent pseudoaneurysm, involving the bifurcation point of brachial artery. Aneurysm was totally resected and the brachial artery was reconstructed by interposition graft using a bifurcated GORE-TEX artificial vessel graft. The patient healed without complication and no recurrence was observed. Artificial vessel graft is an available option for reconstruction, and revascularization of vessel defect after excision of brachial artery aneurysm may involve bifurcation point.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751025pseudoaneurysmartificial vessel graftbrachial artery
spellingShingle Joon seok Oh
Seokchan Eun
A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
Archives of Plastic Surgery
pseudoaneurysm
artificial vessel graft
brachial artery
title A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
title_full A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
title_fullStr A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
title_full_unstemmed A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
title_short A Brachial Artery Pseudoaneurysm Treated with a Bifurcated Y-Shaped Artificial Vessel Graft
title_sort brachial artery pseudoaneurysm treated with a bifurcated y shaped artificial vessel graft
topic pseudoaneurysm
artificial vessel graft
brachial artery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751025
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AT joonseokoh brachialarterypseudoaneurysmtreatedwithabifurcatedyshapedartificialvesselgraft
AT seokchaneun brachialarterypseudoaneurysmtreatedwithabifurcatedyshapedartificialvesselgraft